Genesis Infinity Medical Group

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

GENESIS INFINITY MEDICAL GROUP

Practice address

2445-2447 Santa Clara Ave Ste 305
Alameda, CA 94501

Phone

(510) 426-5640

NPI assigned

Feb 28, 2022

Last updated

Mar 23, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Johnfrei Delariman

Title

Ceo

Phone

(510) 227-9151

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rolando R. Atienza, MD

  • Family Medicine Physician
  • Hayward, CA
  • NPI 1861598435
  NPD
• Jose Felix Huerta-Ibarra, M.D.

  • Internal Medicine Physician
  • Watsonville, CA
  • NPI 1790791614
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1568118685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445-2447 SANTA CLARA AVE STE 305",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "94501",
            "telephone_number": "510-426-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445-2447 SANTA CLARA AVE STE 305",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "94501",
            "telephone_number": "510-426-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS INFINITY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "DELARIMAN",
        "authorized_official_first_name": "JOHNFREI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-227-9151",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaliyah Nicole Geddins
• Michelle Geering, BCBA
• Mary Ann Sarreal Gelera, NP
• Samantha Vie Gelico
• Gerald G Gelle, DDS
• Genesis Rehab
• George Jaber Michael Jaber & Phillip Jaber PTR (Versailles Pharmacy)
• Asha George, PH.D.
• Geraldine George
• Ian George

• Primary Care Nurse Practitioner in Alameda, CA
• Providers in Alameda, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.